Abstract
初向东,王桂芝,冯晓辉,尔西丁,贺金华,温浩.新疆和布克赛尔蒙古自治县囊型包虫病危险因素分析[J].Chinese journal of Epidemiology,2010,31(3):297-299
新疆和布克赛尔蒙古自治县囊型包虫病危险因素分析
Risk factors on human cystic echinococcosis in Hobukesar Mongolian Autonomous County in Xinjiang
Received:May 26, 2009  
DOI:
KeyWord: 包虫病  囊型棘球蚴病  危险因素
English Key Word: Hydatid disease  Cystic echinococcosis  Risk factors
FundProject:中英合作NIH项目(TWO-1565);国家自然科学基金(30520001)
Author NameAffiliationE-mail
CHU Xiang-dong Center of Disease Control, Hobukesar Mongolian Autonomous County, Hobukesar 834400, China  
WANG Gui-zhi Science and Education of Depatment, The Sixth Affiliated Hospital of Xinjiang Medical University  
FENG Xiao-hui Xinjiang Hydatid Clinical Research Institute, The First Teaching Hospital of Xinjiang Medical University feng_xh_cn@yahoo. com. cn 
ER Xi-ding College of Public Health, Xinjiang Medical University  
HE Jin-hua Center of Disease Control, Hobukesar Mongolian Autonomous County, Hobukesar 834400, China  
WEN Hao Xinjiang Hydatid Clinical Research Institute, The First Teaching Hospital of Xinjiang Medical University  
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Abstract:
      目的 分析新疆和布克赛尔蒙古自治县囊型包虫病流行相关的危险因素及探讨预防措施.方法 在和布克赛尔蒙古自治县采用随机抽样方法,进行人群囊型包虫病的流行病学调查,调查内容包括民族、年龄、性别、职业及生活习惯等,并对囊型包虫病相关的危险因素进行多因素logistic回归分析.结果人群包虫病患病率为3.8%,血清阳性率为12.4%,其中囊型包虫病患病率为3.7%,泡型包虫病患病率为0.16%.通过多因素logistic回归分析,发现年龄和家庭屠宰牲畜与囊型包虫病患病有关,OR值分别是7.6(2.481~23.579)、3.2(1.297~7.809).50~60岁年龄组患病率最高,OR值是<20岁年龄组的7.6倍;牧民患病率最高.结论 和布克赛尔蒙古自治县囊型包虫病呈持续高流行势态;年龄和有家庭屠宰牲畜行为与患囊型包虫病相关.
English Abstract:
      Objective To study the risk factors of human cystic echinococcosis (CE) in Hobukesar Mongolian Autonomous County of Xinjiang (HMACX) and to discuss the related strategies for prevention and control. Methods A randomized sampling method was used to screen local residents for human CE in HMACX. CE related risk factors including ethnicity,age,sex,occupation and personal status on hygiene etc. were analyzed under multi-factor logistic regression. Results The prevalence rates of CE and alveolar echinococcosis (AE) were 3.7% (23/627) and 0.16%(1/627) respectively,with the seropositive rate as 12.4% (76/613). The main risk factors that significantly associated with CE were age (OR=7.6,95% CI: 2.481-23.579) and slaughtering livestock in the households (OR=3.2,95%CI: 1.297-7.809). Herdsmen had the highest prevalence of CE in all of the occupations in this study. Conclusion HMACX had been a highly endemic area for human CE,with age and family slaughtering-livestock-behavior appeared to be the main possible risk factors.
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